A List of Sources Cited In

A List of Sources Cited in

the November 4, 2013 ACNM/HRSA Webcast on the ACA and Midwifery

Slide 10

www.healthcare.gov – official government site for consumers

LocalHelp.HealthCare.gov – Getting personalized help to select a coverage option

Slide 11

http://marketplace.cms.gov/ - official government site for providers

Slide 14

http://ourmomentoftruth.midwife.org

http://www.midwife.org/index.asp?bid=1412&RequestBinary=True#

Slide 16

Source: 2010 CBO analysis. See page 23 of document available at: http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/120xx/doc12033/12-23-selectedhealthcarepublications.pdf and 2013 CBO analysis, available at: http://www.cbo.gov/sites/default/files/cbofiles/attachments/44190_EffectsAffordableCareActHealthInsuranceCoverage_2.pdf

Medicare enrollment figures are from the 2013 Medicare Trustees Report, available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/ReportsTrustFunds/Downloads/TR2013.pdf

Slide 17

Source: “Medicaid: A Primer, 2013,” Kaiser Commission on Medicaid and the Uninsured, March 2013. Available on-line at: http://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf

Slide 18

Source: Markus, et. al., “Medicaid Covered Births, 2008 to 2010, in the Context of the Implementation of Health Reform,” Women’s Health Issues, vol. 23, issue 5, e273-e280. Available at: http://www.whijournal.com/article/PIIS1049386713000558/fulltext#tbl1 These figures represent 2010 births. Note that Delaware data for 2010 were not available, so map represents 2009 data.

Slide 19

Source: “Medicaid: A Primer, 2013,” Kaiser Commission on Medicaid and the Uninsured, March 2013. Available on-line at: http://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf

Slide 20

See, “A Guide to the Supreme Court’s Affordable Care Act Decision,” Kaiser Family Foundation, July 2012, available at: http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8332.pdf

Slide 21

Source: Kaiser Family Foundation Website – State Fact, available at: http://kff.org/medicaid/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/#map Current as of October 22, 2013

Slide 23

See preamble discussion to the March 23, 2012 final rule at 77 FR 17149. Available at: http://www.gpo.gov/fdsys/pkg/FR-2012-03-23/html/2012-6560.htm

Slide 24

See Section 2301 of the ACA, available at: http://housedocs.house.gov/energycommerce/ppacacon.pdf

Slide 25

Source: American Association of Birth Centers Website, at: http://www.birthcenters.org/open-a-birth-center/birth-center-regulations Last accessed on September 9, 2013.

Slide 27

For a quick, clever video giving an overview of the Marketplaces, see: http://www.kff.org/health-reform/video/youtoons-obamacare-video/

Slide 28

See Section 1302 of the ACA, available at: http://housedocs.house.gov/energycommerce/ppacacon.pdf

Slide 29

See: http://www.cms.gov/CCIIO/Resources/Data-Resources/ehb.html

See: 78 FR 12834, February 25, 2013, (specifically 45 CFR 156.115) available at: http://www.gpo.gov/fdsys/pkg/FR-2013-02-25/pdf/2013-04084.pdf

Slide 31-33

Based on ACNM analysis of benchmark documents available at: http://www.cms.gov/CCIIO/Resources/Data-Resources/ehb.html

Slide 35

Assumes all are not grandfathered. Estimates for the percent of lives in plans that maintain grandfathered status by 2018 are <5%.

Sources: (1) U.S. Congressional Budget Office (CBO). Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act. March 2012. (2) Medicare Trustees Report, 2011. Table III.A3. (3) CBO Health Insurance Baseline, March 2011. (4) Employee Benefits Research Institute, 2012.

Slide 36

Includes small and large group fully-insured plans, existing individual market lives, and the uninsured who may enroll in exchange-based plans or Medicaid if states chooses expansion option. Excludes pre-ACA Medicaid, Medicare, and other federal programs like VA and DoD TRICARE.

Sources: (1) Employee Benefits Research Institute, 2012., (2) State Health Assistance Data Center (SHADAC), 2012.

Slide 37

Source: 45 CFR 155.1050 and 77 FR 18409, 18419

Slide 38

Source: 45 CFR 156.225, Public Health Services Act Section 2706, and http://www.dol.gov/ebsa/pdf/faq-aca15.pdf

Slide 39

http://kaiserfamilyfoundation.files.wordpress.com/2013/09/early-look-at-premiums-and-participation-in-marketplaces.pdf

Slide 40

https://www.healthcare.gov/ - For Consumers

http://marketplace.cms.gov/ - For Providers

Slide 41

Number of plans across 36 states. Source: ASPE Issue Brief available at: http://www.whitehouse.gov/sites/default/files/docs/marketplace_premiums_ib_final.pdf

Slide 42

Note: this is based on a preliminary analysis of 17 states and DC that announced their data prior to October 1. It is available at: http://kaiserfamilyfoundation.files.wordpress.com/2013/09/early-look-at-premiums-and-participation-in-marketplaces.pdf

Slide 43

Weighted average premiums across 48 states. Source: ASPE Issue Brief available at: http://www.whitehouse.gov/sites/default/files/docs/marketplace_premiums_ib_final.pdf

Slide 45

See: http://kff.org/infographic/the-requirement-to-buy-coverage-under-the-affordable-care-act

Slide 47

http://kff.org/interactive/subsidy-calculator/

Slide 48

Source: 78 FR 15483, available at: http://www.gpo.gov/fdsys/pkg/FR-2013-03-11/html/2013-04902.htm

Slide 52

Source: Kaiser Family Foundation Website – State Fact, available at: http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/#map Current as of September 3, 2013

Slide 53

Source: CBO May 2013 Baseline - http://www.cbo.gov/sites/default/files/cbofiles/attachments/44190_EffectsAffordableCareActHealthInsuranceCoverage_2.pdf and July 24, 2012 CBO letter to Rep. John Boehner, available at: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43471-hr6079.pdf

1